View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	NCHS Website Users Customer Satisfaction Survey 2023	Agency IC Tracking Number:	0920-0729-23HL

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0729	NCHS Website User Customer Satisfaction Survey	Attachment A- 2023 Web User Survey 812023.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000	0	0	0
Annual IC Time Burden (Hours)	167	0	167	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA	Sup St A Web Survey 832023.docx	08/09/2023
SSB	Sup St B Web Survey 832023.docx	08/09/2023
Determination of Non-applicability of Human Subjects Regulations	Attachment B - NCHS_CustomerSurveys_CRdetermination_popupwebsurveys_08232023_KSOsigned_final.pdf	08/09/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.